Slide 3 of 17
1: Slide 1
2: Dx: pain — Rx: pschiatry
3: PAIN AS PSYCHOLOGICAL PHENOMENON
4: DSM-IV
5: DIAGNOSTIC CRITERIA
6: PSYCHODYNAMIC CONCEPTS
7: MODERN PAIN MANAGMENT
8: TEAM PSYCHIATRY
9: TYPES OF PAIN INTERVENTION
10: MULTI-DISCIPLINARY
11: TEAM ROLE OF PSYCHIATRIST
12: LITIGATION & WORKERS COMP
13: TIME DEPENDENT VARIABLE
14: TIME DEPENDENT VARIABLE
15: PREDICTORS
16: SUMMATION
17: Dx: pain — Rx: psychiatry
Notes:
Pain is always a psychological state. This is attested to by the Subcomiittee on Taxonomy of the International Association for the Study of Pain. But, even our vocabulary includes words that communicate pain is a psychological state -- a few such words are anguish, consternation, frustration, and heartache.
Pain is a complex perception involving higher levels of the CNS, emotional states and higher order mental processes. This is according the The Institute of Medicine's Committee on Pain, Disability & Chronic Illness Behavior. Physiologically, we understand the human sexual response as being 90% a psychological process. Pain must also be understood in this context. Elsewise, how can it be explained that a hypnotized woman can undergo a Ceasarian Section while singing, or that LaMaze enables a woman to consciously and without anesthetics, deliver a child? How can it be explained that soldiers in WWII required little or no pain medication when they suffered battle injuries that removed them from combat?
Conversely, why is it that individuals complain of pain when the tissue damage appears minimal or absent, or when other individuals with the very same extent of damage live active fulfilling lives? These questions are answerable only if pain is understood as a psychological state.
